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儿童全层狗咬伤头皮撕脱伤的重建:复合脱细胞真皮基质产品的应用:病例报告。

Pediatric Reconstruction of Full-Thickness Dog Bite Scalp Avulsion with a Combination of Acellular and Matrix Products: A Case Report.

机构信息

Plastic and Maxillofacial Surgery Unit-Bambino Gesù Children Hospital-Rome, 00120 Vatican City, Vatican City State.

Department of Plastic Reconstructive and Aesthetic Surgery, Policlinico Umberto I, Sapienza University of Rome, 00161 Rome, Italy.

出版信息

Medicina (Kaunas). 2024 Nov 8;60(11):1838. doi: 10.3390/medicina60111838.

DOI:10.3390/medicina60111838
PMID:39597023
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11596499/
Abstract

The reconstruction of large full-thickness scalp injuries represents a great challenge in pediatric plastic surgery. Epidermal-dermal substitutes come to the rescue when traditional surgical strategies are not suitable. Recently, the new Integra MicroMatrix UBM particulate has arisen on the market. This is an extracellular matrix derived from the porcine urinary bladder matrix (UBM) in which the particulate structure provides close contact to the wound bed. We present the concomitant application of Integra DRT and MicroMatrix for the reconstruction of a full-thickness subtotal scalp defect in a child mauled by a dog.

摘要

大面积全层头皮损伤的重建对于小儿整形外科来说是一个巨大的挑战。当传统的手术策略不适用时,表皮-真皮替代物就派上用场了。最近,一种新型的 Integra MicroMatrix UBM 微粒在市场上出现了。这是一种来源于猪的尿路上皮基质(UBM)的细胞外基质,其微粒结构与创面基底紧密接触。我们介绍了 Integra DRT 和 MicroMatrix 联合应用于一名被狗咬伤的儿童的全层部分头皮缺损的重建。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8802/11596499/8c51a8e3de79/medicina-60-01838-g010.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8802/11596499/ef8d72bbe0bc/medicina-60-01838-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8802/11596499/64cf8ace1b4c/medicina-60-01838-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8802/11596499/c89f77a24945/medicina-60-01838-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8802/11596499/71141c8ccc61/medicina-60-01838-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8802/11596499/27234cc55ce6/medicina-60-01838-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8802/11596499/65da26aa5e88/medicina-60-01838-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8802/11596499/d23a470a9dae/medicina-60-01838-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8802/11596499/01e3d2268b62/medicina-60-01838-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8802/11596499/985b5371c91d/medicina-60-01838-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8802/11596499/8c51a8e3de79/medicina-60-01838-g010.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8802/11596499/ef8d72bbe0bc/medicina-60-01838-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8802/11596499/64cf8ace1b4c/medicina-60-01838-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8802/11596499/c89f77a24945/medicina-60-01838-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8802/11596499/71141c8ccc61/medicina-60-01838-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8802/11596499/27234cc55ce6/medicina-60-01838-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8802/11596499/65da26aa5e88/medicina-60-01838-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8802/11596499/d23a470a9dae/medicina-60-01838-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8802/11596499/01e3d2268b62/medicina-60-01838-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8802/11596499/985b5371c91d/medicina-60-01838-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8802/11596499/8c51a8e3de79/medicina-60-01838-g010.jpg

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本文引用的文献

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Delayed skin grafting protocol following Integra™ application for non-radiated scalp reconstruction for decreased wound depth and improved contour.在应用Integra™进行非放射性头皮重建以减少伤口深度和改善外形后采用延迟皮肤移植方案。
Head Neck. 2023 Nov;45(11):2967-2974. doi: 10.1002/hed.27520. Epub 2023 Sep 20.
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The Use of Urinary Bladder Matrix for Reconstructing Avulsed Traumatic Soft Tissue Injuries to the Maxillofacial Region.
应用膀胱基质重建颌面部撕脱性创伤性软组织损伤。
J Craniofac Surg. 2023;34(8):2317-2320. doi: 10.1097/SCS.0000000000009699. Epub 2023 Sep 4.
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Cultured Skin Autograft in Subtotal Pediatric Scalp Avulsion.小儿全头皮撕脱伤中培养的皮肤自体移植
Adv Skin Wound Care. 2023 Jun 1;36(6):1-6. doi: 10.1097/01.ASW.0000926644.98790.a8.
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